How to Prepare for CMS WISeR: A New Era of Pre-Service Review
Medicare is entering a new era of oversight. With the launch of the Wasteful and Inappropriate Service Reduction (WISeR) model on Jan. 1, 2026, CMS will shift from post-payment audits to technology-driven pre-service review and prior authorization — a move that mirrors commercial payer processes. Initially focused on select services in six states (Arizona, New […]
Why Front-End RCM is the Unsung Hero of a Healthy Revenue Cycle
When it comes to revenue cycle management (RCM), most conversations revolve around billing, coding and collections. Yet the most preventable problems — and the biggest opportunities for improvement — lie at the very start. Front-end RCM processes such as insurance verification, accurate patient registration and point-of-service collections are essential to a healthy revenue cycle. In […]